The purpose of this paper is to explore briefly the nature, development and implications of the relationship between medical practitioners and life assurance companies. The aim is to elucidate the development both of the medical profession and the life insurance business--two important aspects of economic and social change in the nineteenth and early twentieth centuries which are usually treated separately. The focus is primarily, though not exclusively, on Scottish companies as they carried out a disproportionately large amount of the UK life assurance business by the mid-nineteenth century. The insurance industry's increasing, and increasingly systematic, tapping of medical expertise enabled it to raise profits by reducing losses on standard policies and by venturing out into types of business previously thought too risky. While nineteenth-century medical therapeutics may have left much to be desired, medical involvement in insurance suggests that medical practitioners were by no means ineffective. At the same time, a substantial proportion of the medical profession gained valuable part-time appointments which helped to alter the diagnostic techniques of the profession more generally. Thus insurance turns out to be an especially important element in the 'non-healing' aspects of medicine, with spin-offs for the healing side as well.
This paper examines the changing methods, underlying motives, clienteles and controversy surrounding posthumous commemorations of Lord Lister in Britain. The importance of the commemorations for professional identity formation continues throughout the twentieth century, but World War I appears as a turning point. The constituencies commemorating Lister change from broadly international, national and civic with an emphasis on fundraising, to more narrowly professional; the use of religious imagery is notable after the war in the debates in the 1920s; and as his students, so central to the creation and preservation of his image, die, the focus begins to shift from the man and his achievements, 'the great benefactor of mankind', to his legacy in the current state of subjects related to his work. The changing nature of the commemorations suggests that although Lister's precise position in the history of surgery is contentious today, his importance as an iconic figure in the history of the medical profession is secure.
Hydropathy and its Historians During the 1820s Vincent Priessnitz established Grafenberg' as the first centre for hydropathy, his novel modification ofwater-based therapies. As word ofthe seemingly miraculous cure spread, spiralling numbers of patients journeyed from across Europe, and further afield, to place themselves under Priessnitz's care.2 It was not, however, until the early 1840s that hydropathy impinged upon the consciousness of Britain's medical practitioners and valetudinarians. While short reviews describing the new therapy appeared in the medical press in 1841,3 it was Captain Claridge who was responsible for mobilizing British interest in the water cure. In 1842 he published an account of his experiences as a patient of Priessnitz, and followed this with a tireless lecture tour around the British Isles.4 His descriptions of hydropathy appealed to a public whose ardour remained undimmed for any therapy that promised relief from disease. The bulk of the medical practitioners were less convinced. Some reacted
Summary The history of nursing education has often been portrayed as the subordination of nursing to medicine. Yet, as scholars are increasingly acknowledging, the professional boundaries between medicine and nursing were fluid in the nineteenth and early twentieth centuries, when both scientific knowledge and systems of nurse training were in flux. Through its focus on the role of medical practitioners in educating nurses in wound sepsis at four British hospitals between 1870 and 1920, this article attempts to further unite histories of medicine and nursing. It demonstrates that, in this period of uncertainty, the ideas and practices relating to antisepsis, asepsis and bacteriology disseminated to nursing probationers depended on the individual instructor. In demonstrating the localised nature of nursing education, this article argues that further analyses of clinical problems like wound sepsis may enable historians to more clearly identify the importance of professional collaboration within the hospital.
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